> As a result many of my clients are sent automatically to a prticular IBLC
who
> give very inaccurate information and encourages the women to pump and feed
> EBM rather than putting their babies to the breastr. She teaches a popular
class
> in which she instructs moms that babies earlier than 35 weeks will not be
> able to nurse so to pump and bottle exculsivly until they get big enough.
>
Treesa, I wonder if this IBCLC would be willing to meet with you and some
other doulas to have a discussion about ways to support these families of
early babies.  Perhaps you could invite her to give you an account of what
happens to a mother and baby from the time the baby is admitted to the NICU
until discharge.  Then you could outline for the LC a portrait of
mother/infant difficulties after hospital discharge and the things you have
tried to bring the breastfeeding couple back together.

Whether or not you agree with her approach, it may be the only one available
to her, given the policies of her NICU.  Until she gets a better picture of
the difficulties you face, she can't see past the time those babies are in
her care.  Likewise, if you see what challenges she is facing you can build
a plan for supporting these families before, during and after their hospital
stay.

Just a thought,
Jeanne Mitchell, RN, IBCLC
Austin, TX

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